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Organization
PARADIGM SHIFT COUNSELING
Active
Organization
PARADIGM SHIFT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN THOMAS GREENE LPC (OWNER)
(540) 355-8300
Entity
Organization
Contact information
Practice address
4220 CYPRESS PARK DR, ROANOKE, VA 24018-8402
(540) 772-1872
Mailing address
1316 MEADOWVIEW DR, SALEM, VA 24153-6684
(540) 355-8300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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